Combined congenital radial and ulnar longitudinal deficiencies: report of 2 cases.

Variation in longitudinal deficiencies is likely related to the timing and duration of an insult during early limb development. In experimental models, teratogenic insults induce ulnar deficiencies earlier in gestation than radial deficiencies. In this report, we describe the rare combination of right radial and left ulnar deficiencies in 2 cases.

Functional deficit after transfer of the pronator teres for acquired radial nerve palsy.

Purpose: A suitable muscle motor in reconstruction after acquired never injury should have adequate strength to perform the desired task, be aligned in the direction of pull, have synergistic action, and not result in unacceptable functional loss. In radial nerve palsy, the pronator teres is the most common motor donor used to restore wrist extension. Although the pronator teres remains aligned to provide pronation, the force deficit of the transfer is not known.

Surgical treatment of congenital syndactyly of the hand.

Syndactyly is a congenital anomaly of the hand that is more common in males, is present bilaterally in 50% of affected patients, and often is associated with other musculoskeletal malformations or systemic syndromes. The goal of syndactyly release is to create a functional hand with the fewest surgical procedures while minimizing complications. For simple syndactyly, surgical reconstruction can begin at approximately 6 months, although many surgeons prefer to wait until the infant is 18 months old.

Thumb radial angulation correction without phalangeal osteotomy in Apert's syndrome.

A surgical technique to correct thumb metacarpophalangeal (MCP) joint radial angulation in patients with Apert's syndrome that obviates osteotomy of the proximal phalanx is described. The anomalous insertion of the abductor pollicis brevis tendon to the distal phalanx radially is released and reattached to the radial base of the proximal phalanx. A radial MCP joint capsulotomy is performed; excision of a cartilaginous prominence on the ulnar aspect of the metacarpal head is required to assist in joint alignment, which is temporarily maintained with a K-wire.